MULTIPLE DL
NDENT CLAIM
SERIAL NO.
FILING DATE
FEE CALCULATION SHEET
(FOR USE WITH FORM PTO-875)
APPLICANTS)
c
:laiiv
IS
AS FILED
AFTER
I "amendment
AFTER
2 "'AMENDMENT
AS FILED
AFTER
1* AMENDMENT
AFTER
2 "AMENDMENT
IND.
DEP.
IND.
DEP.
IND.
DEP.
IND.
DEP.
IND.
DEP.
IND.
DEP.
1
/
51
2
-L
3
-J
53
4
54
„
5
/
6
56
/
7
/
57
r
8
58
9
10
-
■
11
O 1
' '
12
f
13
t
'
14
15
^
,
16
,
OO
.
17
o /
18
/
AQ
/
"
19
OV
20
/U
21
"71
/
22
"7*7
—
23
it
to
'
24
•
— "
25
"
26
"7/:
/o
27
1
"7*7
28
"7fl
/o
29
1
"70
30
~nr~
oil
/
/
31
ol
-
32
ox
4
33
OJ
/
34
84
f
35
85
36
£
86
/
37
87 i
38
88
1 39
—
89
J.
40
AA
/
41
91
/
42
92
t 43
93
* A A
44
94
45
95
/
46
96
47
97
48
98
49
/
99
1 50
TOTAL IND.
100
TOTAL IND.
TOTAL OCT
total oer
M 2
TOTAL
CLAIMS
Hi
TOTAL
CLAIMS
1
Hi
— ^— — — — — — ox OCT AKIMBO" «T OOMMPMX 1
acST AVAILABLE COPY
MULTIPLE DL NDENT CLAIM
FEE CALCULATION SHEET
(FOR USE WITH FORM PTO-875)
SERIAL NO.
FILING DATE j
CLAIIN
AS I
7 ILED
i"ame
TFR
NDMENT
AFTER
2 •'AMENDMENT
AS FILED
AFTER
l - AMENDMENT
AFTER
2 "'AMENDMENT
IND.
DEP.
IND.
DEP.
IND.
DEP.
IND.
DEP.
IND.
DEP.
IND.
DEP.
44i
51
-P-±
1 — 3
52
1
/
53
54
^1 —
1
55
/
! 56
57
- —
58
/ 4" O
59
/ *°
* *
60
/ y
61
/ fc 2 —
62
/t 3
*= —
63
IM
64
t&
65
i ¥>
•
66
—
67
~ —
68
69
_#go
70
ft*
71
71
I*
12
— —
72
•I
b
—
73
ft
U
74
tfr
t5
—
75
Wil
—
76
n
77
»
18
/
78
Wil
\9
/
79
If
0
/
80
BE
1
81
_
12
82
£
83
84
85
it 6
/
86
87
1 g 8
88
89
0
90
91
<
2
92
/J
-j—
93
44
45 S
95
46
96
47
97
48
98
49
99
50
100
TOTAL IND.
TOTAL IND.
TOTAL OCT
TOTAL DET
<■
<■
TOTAL
CLAIMS
TOTAL
CLAIMS
m
rro- w (Rgv. ii/m)
d£ST AVAILABLE COPY